Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Idaho for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Idaho only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Idaho (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Daniel Allen (NPI 1720017247)

Field	Value
Entity Type	Individual
Organization	Daniel Allen
Address	381 S Middleton Rd Ste B
City	Middleton
State	ID
ZIP	83644
Taxonomy	Family Medicine Physician
NPI Enumerated	June 30, 2006

Payer Source	Total Paid
Medicare	$493.7K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is concentrated and programmatic: lifetime Medicare revenue totals $493.7K and the top 3 Medicare codes by revenue (99490, 99306, 99309) account for 54.2% of this provider's total Medicare revenue. The single largest line is 99490 (3.6K claims, $148.4K revenue, 30.0% of Medicare revenue), indicating chronic care management is a core revenue driver for the practice.

The code mix shows a dual focus on long‑term/nursing facility care and remote chronic care management. High-volume nursing facility initial and subsequent visit codes (99306: 502 claims, $64.8K revenue; 99309: 724 claims, $55K revenue) alongside an extensive set of CCM and RPM codes (99490, 99439, 99457, 99454, 99458) suggests the operation manages patients both in skilled nursing settings and via structured remote-monitoring and care-management programs.

Revenue concentration is notable at the code level: 99490 alone represents $148.4K and 30.0% of Medicare revenue, while the trio of 99490, 99306, and 99309 together comprise 54.2% of Medicare revenue. This concentration implies the practice’s financial performance is closely tied to continued volume in chronic care management and nursing-facility E/M services.

Competitive standing varies by code: 99306 is an outlier — it ranks #187 of 12836 providers nationally and is labeled an "extreme outlier, far above typical national volume," signaling a disproportionate share of initial nursing facility visits compared with peers. By contrast, 99490 (ranks #82 of 16216, described as "typical, unremarkable volume") is a top revenue source but is not labeled as unusually concentrated versus national providers.

The provider demonstrates a robust RPM/CCM program relative to peers: 99457 (1.2K claims, $39.6K revenue) ranks #261 of 6044 (96th percentile, described as typical, unremarkable volume) and companion codes such as 99454 (692 claims, $24.2K revenue) and 99458 (838 claims, $23.5K revenue) also sit in high percentiles. These high-volume RPM/CCM codes plus 99497 (470 claims, $26.3K revenue; "notably above typical national volume") indicate an established, billable remote monitoring and advanced-care-planning workflow.

Payer mix is effectively single-payer: Total Medicaid revenue is listed as none (no Medicaid billing on file), so all documented programmatic and revenue activity is Medicare-based. Analysts should treat this entity as Medicare-dependent for historical billing signals and competitive comparisons.

Tenure and continuity are consistent with an established practice: NPI enumerated (registered) 2006-06-30 (~20 years ago), which supports interpreting the high nursing-facility and CCM volumes as sustained operational strategy rather than a brief or recent shift. This longevity increases the likelihood these patterns reflect deliberate service lines rather than transient billing anomalies.

Smaller but potentially strategic service lines are present: codes such as G2214 (138 claims, $5.7K revenue; ranked in the 88th percentile) and 99491 (90 claims, $5.4K revenue) show additional engagement in collaborative behavioral health management and physician-directed chronic care, respectively. While these are minor contributors to total revenue, their presence complements the practice’s broader chronic-care and SNF-oriented service mix and may offer ancillary opportunities for payer engagement.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	3,620	$40	$148.4K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	500	$130	$64.8K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	720	$80	$55K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,550	$30	$46.4K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	1,200	$30	$39.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	470	$60	$26.3K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	690	$40	$24.2K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	840	$30	$23.5K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	190	$80	$15.7K
99489	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	310	$50	$13.7K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Daniel Allen — 9 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	14	110	190	$70	$19.3K
99489	6	20	80	$40	$15.6K
99306	2	60	40	$130	$12.7K
99310	34	60	70	$100	$12.3K
99487	4	20	50	$80	$8.5K
99490	1	90	90	$40	$8.1K
G2214	1	10	140	$40	$5.6K
99308	18	80	60	$50	$5.4K
99457	1	30	110	$30	$5.3K
99454	1	20	90	$30	$4.8K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Daniel Allen, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paiute Indian Tribe Of Utah	UT	Clinic/Center	$0	$16.4M
Paiute Indian Tribe Of Utah	UT	Dental Clinic/Center	$0	$1.4M
D&g Medical Associates PLLC	ID	Family Medicine Physician	$0	$1.3M
Cedar Ridge Family Medicine	UT	Family Medicine Physician	$0	$762.4K
Steven Newman	UT	Family Medicine Physician	$177.3K	$13.9K
Scott Schrader	ID	Physician Assistant	$146.4K	$0
Crystal Mcnally	ID	Nurse Practitioner	$143.1K	$0
Brad Webb	UT	Foot & Ankle Surgery Podiatrist	$142.1K	$0
Leon Reber	UT	Foot & Ankle Surgery Podiatrist	$140.5K	$0
Nadya Wayment	UT	Family Medicine Physician	$134.2K	$0

Nearby Providers

Other providers in the same ZIP code as Daniel Allen, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Icare Supported Living, Inc.	ID	In Home Supportive Care Agency	$0	$13M
Middleton School District	ID	Local Education Agency (LEA)	$0	$3.2M
Foundations Pediatric Therapy PLLC	ID	Pediatric Occupational Therapist	$0	$443.8K
Samuel Hally	ID	Family Nurse Practitioner	$128.1K	$0
Rebecca Swainston	ID	Family Nurse Practitioner	$58.5K	$0
Jonathan Hughes	ID	Optometrist	$30.9K	$0

Daniel Allen — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References